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Impact of Medical Improvisation on Therapeutic Use of Self: A Randomized Controlled Waitlist Study.
Am J Occup Ther
January 2025
Carrie Ciro, PhD, OTR/L, FAOTA, is Professor, Rehabilitation Science, University of Oklahoma Health Science Center, Oklahoma City.
Importance: The application of interpersonal skills is considered therapeutic use of self, a pillar of occupational therapy practice, and a required competency for occupational therapy education (American Occupational Therapy Association [AOTA], 2020). Medical improvisation (medical improv) uses the principles of improvisational theater to enhance professional competencies and shows promising results in health professions education (Gao et al., 2019).
View Article and Find Full Text PDFRelationship Between Severity of Ischemia and Coronary Artery Disease for Different Stress Test Modalities in the ISCHEMIA Trial.
Circ Cardiovasc Interv
December 2024
Cardiovascular Clinical Research Center, Department of Medicine, NYU Grossman School of Medicine, New York, NY (H.R.R., L.P., S.B., J.S.H.).
Background: The relationship between the extent and severity of stress-induced ischemia and the extent and severity of anatomic coronary artery disease (CAD) in patients with obstructive CAD is multifactorial and includes the intensity of stress achieved, type of testing used, presence and extent of prior infarction, collateral blood flow, plaque characteristics, microvascular disease, coronary vasomotor tone, and genetic factors. Among chronic coronary disease participants with site-determined moderate or severe ischemia, we investigated associations between ischemia severity on stress testing and the extent of CAD on coronary computed tomography angiography.
Methods: Clinically indicated stress testing included nuclear imaging, echocardiography, cardiac magnetic resonance imaging, or nonimaging exercise tolerance test.
[Development and Effectiveness of Progressive Simulation Education Program on Medication Safety for Nursing Students].
J Korean Acad Nurs
November 2024
College of Nursing, Dong-A University, Busan, Korea.
Purpose: This study aimed to develop and verify a progressive simulation education program aimed at enhancing nursing students' medication safety competency.
Methods: A non-equivalent control group pretest-posttest design was adopted. The participants were 40 third-year nursing students with no prior simulation education experience, comprising 20 each in the experimental and control groups.
Evaluating Prenatal Care Compliance and Barriers to Prenatal Care Among Pregnant Individuals in Forsyth County, North Carolina.
N C Med J
August 2024
Department of Family and Community Medicine, Atrium Health Wake Forest Baptist.
Background: Individuals who gave birth from May 2021 through July 2021 at Atrium Health Wake Forest Baptist (AHWFB) Hospital were surveyed to identify barriers to prenatal care (PNC), assess adequacy of PNC, and examine how these measures relate to race, ethnicity, and income.
Methods: A survey was administered to 200 individuals giving birth at AHWFB. Eligibility included English- or Spanish-speaking, aged 18 years or older, and a gestational age of 35 weeks or greater at delivery.
Curriculum Innovation: Design, Implementation, and Evaluation of an Interdisciplinary Teamwork-Focused Neurocritical Care In Situ Simulation Training Program.
Neurol Educ
June 2024
From the Department of Nursing (B.C.Y.), Hospital of the University of Pennsylvania, Philadelphia; Department of Critical Care Medicine (M.S.E.), Virtua Health, Camden, NJ; and Department of Neurology (M.S.E., M.A.K.), University of Pennsylvania, Philadelphia.
Introduction And Problem Statement: Neurocritical care (NCC) is a niche clinical subspecialty dependent on interdisciplinary cohesion to operate in critical situations. Team cohesion in an intensive care unit (ICU) depends not only on technical skills or medical knowledge but also on nontechnical skills such as teamwork, communication, and leadership. Developing and practicing these skills as an interdisciplinary team is not standard in most professional training programs.
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